The client's blood sugar is 64 mg/dL and the nurse assesses the client to determine a fit between the objective and subjective findings. Which assessment finding does the nurse use to fit the blood glucose result?
1. Polyuria
2. Vomiting
3. Headache
4. Weakness
3
3. The nurse is looking for subjective clinical indicators that match the blood glucose level; blood glucose at 64 mg/dL is hypoglycemia and a subjective clinical indictor consistent with hypoglycemia is headache.
1, 2, and 4. Polyuria, weakness, and vomiting are objective findings the nurse ob-serves; in addition, they are clinical indicators of hyperglycemia.
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